Chest Pain/Ecocardiogram result opinions

Would like opinions on my recent Echocardiogram. Doctor seems to think test results are normal, but i am still experiencing symptoms and also noticed upon personal review that my LVEDD seems abnormally large. Here are my results: 

Mitral Valve: Leaflet thickness and mobility are normal. No mitral 

valve

prolapse is detected. Trace mitral regurgitation is

detected.

Aortic Valve: The aortic valve is trileaflet. Leaflet thickness and

mobility are normal. No significant aortic stenosis 

is

detected. No aortic regurgitation is detected.

Tricuspid Leaflet thickness and mobility are normal. Trace 

tricuspid

Valve: regurgitation is detected. The estimated pulmonary 

artery

systolic pressure is normal.

Pulmonic Valve: The pulmonic valve is normal in structure and 

function. No

pulmonic valve stenosis is detected. Trace pulmonic

regurgitation is detected.

Left Atrium: The left atrium is normal in size. The interatrial 

septum

appears normal.

Left Ventricle: Mild LV dilation (LVEDD 5.94 cm) The estimated left

ventricular ejection fraction is 55%. No overt 

regional

wall motion abnormalities are detected. Left 

ventricular

diastolic function is normal.

Right Atrium: The right atrium is normal in size.

Right Normal right ventricular cavity size and systolic

Ventricle: function.

Pericardium: There is no pericardial effusion.

Pleura: No significant pleural effusion is detected.

Miscellaneous: The IVC is less than 2.1 cm and is > 50% collapsible

consistent with a right atrial pressure of 

approximately 3

mmHg. The aortic root diameter is normal.

Conclusions

Summary

Mild LV dilation.

Estimated ejection fraction 55% with no overt regional wall motion

abnormalities.

Normal RV cavity size and systolic function.

Trace mitral and pulmonic regurgitation.

Signature

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Electronically signed by SALAMON JASON N MD(Interpreting physician) 

on

04/09/2018 06:38 PM

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!Valves 

!Structures ! 

!

! ! 

!Miscellaneous !

! ! 

! !

! ! 

!Aorta !

!Mitral Valve 

!Left Atrium ! 

!

! ! 

!Aortic Root: 3.6 cm !

!Peak E-Wave: 93.8 cm/s !LA 

Dimension: 3.4 cm ! 

!

!Deceleration Time: 141 msec !LA 

Area: 24 cm\S\2 ! 

!

!E/A Ratio: 3.51 !LA 

Index: 46ml/m\S\2 ! 

!

! ! 

! !

!Peak A-Wave: 26.7 cm/s ! 

! !

! ! 

! !

!E/E` (L):4.94 ! 

! !

!E/E` (S):7.44 

!Left Ventricle ! 

!

! ! 

! !

! !EF 

Estimated: 56% ! 

!

! !CI: 

3.55 l/min*m\S\2 ! 

!

! !CO: 

6.95 l/min ! 

!

! !LV 

Mass: 198.7096 gFS: 28.79 % ! 

!

!Tissue Doppler 

!Systolic Dimension: 4.23 cm ! 

!

!E' Velocity (L): 19 cm/s 

!Diastolic Volume: 151 ml ! 

!

!E' Velocity (S): 12.6 cm/s !PW 

Diastolic: 0.84 cm ! 

!

! 

!Septum Systolic: 1.16 cm ! 

!

! !LV 

EDV/LV EDV Index: 151 ml/77 m\S\2 ! 

!

! !LV 

Mass Index: 101 g/m\S\2 ! 

!

! 

!Diastolic Dimension: 5.94 cm ! 

!

! 

!Systolic Volume: 65 ml ! 

!

! !PW 

Systolic: 1.22 cm ! 

!

!Aortic Valve 

!Septum Diastolic: 0.87 cm ! 

!

! !LV 

ESV/LV ESV Index: 65 ml/33 m\S\2 ! 

!

!Peak Velocity: 139 cm/s ! 

! !

!Mean Gradient: 4 mmHg ! 

! !

! ! 

! !

!AV VTI: 32.4 cm !- 

EF Calculated based on average of 2 and 4 chamber ! 

!

!Peak Gradient: 7.73 mmHg 

!measurements. ! 

!

!Area (continuity): 3.57 cm\S\2 ! 

! !

! ! 

! !

! ! 

! !

! ! 

! !

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!Right Atrium ! 

!

! ! 

! !

!Tricuspid Valve 

!Estimated RAP:10 mmHg ! 

!

! ! 

! !

!TR Velocity: 173 cm/s ! 

! !

! ! 

! !

!RV Systolic Pressure: 21.97 mmHg ! 

! !

!TR Gradient: 11.9716 mmHg 

!Right Ventricle ! 

!

! ! 

! !

!Estimated PASP: 21.97 mmHg ! 

! !

!Estimated RVSP: 22 mmHg ! 

! !

!Estimated RAP: 10 mmHg ! 

! !

! ! 

! !

! ! 

! !

! ! 

! !

! ! 

! !

!Pulmonic Valve ! 

! !

! ! 

! !

!Peak Velocity: 68.1 cm/s ! 

! !

! ! 

! !

!Peak Gradient: 1.86 mmHg ! 

! !

!Estimated PASP: 21.97 mmHg ! 

! !

! ! 

! !

!PR ED Velocity: 90.9 cm/s ! 

! !

! ! 

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!LVOT ! 

! !

! ! 

! !

!Peak Velocity: 117 cm/s ! 

! !

!Peak Gradient: 5.48 mmHg ! 

! !

!LVOT VTI: 23.6 cm ! 

! !

!Mean Gradient: 1.94 mmHg ! 

! !

!LVOT Diameter: 2.5 cm ! 

! !

!Mean Velocity: 69.7 cm/s ! 

! !

! ! 

! !

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Indications for Study:Hypertension and Chest pain.

Technical Quality: Good visualization

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